{"id":6746,"date":"2023-09-12T13:46:35","date_gmt":"2023-09-12T12:46:35","guid":{"rendered":"https:\/\/cdrc.nhs.uk\/?page_id=6746"},"modified":"2024-04-26T11:57:33","modified_gmt":"2024-04-26T10:57:33","slug":"chronic-kidney-disease-ckd-emis","status":"publish","type":"page","link":"https:\/\/cdrc.nhs.uk\/resources\/emis-resource-centre\/emis-specialties\/emis-renal-overview\/chronic-kidney-disease-ckd-emis\/","title":{"rendered":"EMIS: Acute Kidney Injury (AKI) & Chronic Kidney Disease (CKD)"},"content":{"rendered":"\n

CDRC has Population Reporting Searches available to support the identification and management of patients with un-coded \/ coded CKD.<\/p>\n\n\n\n

Accessing the AKI & CKD Population Reporting Searches<\/summary>
\n

To access the CDRC AKI & CKD Population Reporting Searches on EMIS, you will need to download and import the following .zip file:<\/p>\n\n\n\n

CDRC Quality Renal (26th April 2024)<\/a>Download<\/a><\/div>\n\n\n\n

If you have not performed this process before, please refer to the Download\/ Import guide below, which provides you with step-by-step instructions on how to Download and Import .zip files into EMIS:<\/p>\n\n\n\n

*NB: this guide uses a Lipid Resource File for illustrative purposes only, the steps undertaken to import the CDRC Quality Renal File are the same.<\/p>\n\n\n\n

EMIS Zip File Download and Import Guide<\/a>Download<\/a><\/div>\n\n\n\n

You can check whether you have the most up-to-date version by reviewing the date on the .zip file. Any updates to the Population Reporting searches will be communicated to CDRC Precision users via the mailing list for the CDRC. To ensure you stay up to date with the latest information, please sign up to the mailing list at http:\/\/eepurl.com\/9131L<\/a> <\/p>\n<\/div><\/details><\/div>\n\n\n\n

<\/div>\n\n\n\n
Guidance on the AKI & CKD Population Reporting Searches <\/summary>
\n

To view CDRC\u2019s focused Population Reporting AKI & CKD searches navigate to the CDRC Quality Renal (26th April 2024) folder and open the CDRC Quality Renal Focused Reports<\/span> folder.<\/strong><\/p>\n\n\n

\n
\"\"<\/figure><\/div>\n\n\n

The Focused Population Reporting AKI & CKD searches in this folder are highlighted below along with information on patients returned from each search.<\/p>\n\n\n\n

AKI Prevention<\/h2>\n\n\n\n
Report Name<\/strong><\/td>Patient’s<\/strong> Returned<\/strong><\/td><\/tr>
? AKI Prevention – Meds 01.1 PPIs in high risk patients <\/td>Patients at high risk of an AKI or coded with an AKI in the last 3 years and prescribed PPIs on repeat. <\/td><\/tr>
? AKI Prevention – Meds 04.1 Gabapentinoids in high risk patients<\/td>Patients at high risk of an AKI or coded with an AKI in the last 3 years and prescribed Gabapentinoids on repeat. <\/td><\/tr>
? AKI Prevention – Meds 04.2 Lithium in high risk patients <\/td>Patients at high risk of an AKI or coded with an AKI in the last 3 years and prescribed Lithium on repeat. <\/td><\/tr>
? AKI Prevention – Meds 04.3 Opioids in high risk patients<\/td>Patients at high risk of an AKI or coded with an AKI in the last 3 years and prescribed Opioids on repeat. <\/td><\/tr>
? AKI Prevention – Meds 06.1 Long acting sulfonylurea in high risk patients <\/td>Patients at high risk of an AKI or coded with an AKI in the last 3 years and prescribed Long acting sulfonylurea on repeat. <\/td><\/tr>
? AKI Prevention – Meds 10.1 NSAIDs in high risk patients<\/td>Patients at high risk of an AKI or coded with an AKI in the last 3 years and prescribed NSAIDs on repeat. <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

CKD Casefinding<\/h2>\n\n\n\n
Report Name<\/strong><\/td>Patient’s<\/strong> Returned<\/strong><\/td><\/tr>
? CKD 2.0 Casefinding \u2013 All patients with potentially uncoded CKD <\/td>Patients not coded with CKD, with diabetic kidney disease OR<\/strong> two ACR >=3 OR<\/strong> two eGFR <60.<\/td><\/tr>
? CKD 2.01 Casefinding \u2013 eGFR <60 twice, 3 months apart but not coded with CKD 3-5 <\/td>Patients with last two eGFR <60 at least 3 months apart but not code for CKD 3-5.<\/td><\/tr>
? CKD 2.02 Casefinding \u2013 Repeated ACR>=3 but not coded with CKD <\/td>Patient with last two ACR readings >=3 without a CKD 1-5 code.<\/td><\/tr>
? CKD 2.021 Casefinding \u2013 Repeated ACR>=3 but not coded with CKD (excluding diabetic kidney disease) <\/td>As above, excluding patients with diabetic kidney disease.<\/td><\/tr>
? CKD 2.03 Casefinding \u2013 Diabetic kidney disease but not coded with CKD <\/td>Patients with diabetic kidney disease patients without a CKD 1-5 diagnosis.<\/td><\/tr>
? CKD 2.10 Casefinding \u2013 All patients with possible CKD \u2013 need repeat eGFR or ACR <\/td>Patients not coded with CKD with an isolated eGFR <60 or an isolated ACR >=3.<\/td><\/tr>
? CKD 2.11 Casefinding \u2013 eGFR<60 (isolated) over 4 months ago but not coded with CKD 3-5 \u2013 Repeat U+E <\/td>Patients not coded with CKD 3-5 but who\u2019s last eGFR was <60 (at least 4 months ago).<\/td><\/tr>
? CKD 2.12 Casefinding \u2013 eGFR<50 (isolated) over 4 months ago but not coded with CKD 3-5 \u2013 Repeat U+E <\/td>As above but eGFR <50.<\/td><\/tr>
? CKD 2..4 Casefinding \u2013 Isolated ACR>=3 not coded with CKD \u2013 Repeat ACR<\/td>Patients not coded with CKD but who\u2019s last ACR was >=3.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

CKD Management<\/h2>\n\n\n\n
Report Name<\/strong><\/td>Returns<\/strong><\/td><\/tr>
? CKD 3.0 Coding \u2013 All Coding Issues<\/td>Patients identified in searches ? CKD 3.01, 3.02, 3.021, 3.03 and 3.04.<\/td><\/tr>
? CKD 3.01 Coding \u2013 Current CKD G code not in keeping with recent eGFRs<\/td>CKD diagnosed, last two eGFR results not in keeping with current CKD coding.<\/td><\/tr>
? CKD 3.01.1 Coding \u2013 Current CKD G code not in keeping with recent 2 eGFRs<\/td>CKD diagnosed, last two eGFR 60-89 but not CKD 2-5 coded.<\/td><\/tr>
? CKD 3.01.2 Coding \u2013 Current CKD G code not in keeping with recent 3A eGFRs<\/td>CKD diagnosed, last two eGFR 45-59 but not CKD 3A-5 coded.<\/td><\/tr>
? CKD 3.01.3 Coding \u2013 Current CKD G code not in keeping with recent 3B eGFRs<\/td>CKD diagnosed, last two eGFR 30-44 but not CKD 3B-5 coded.<\/td><\/tr>
? CKD 3.01.4 Coding \u2013 Current CKD G code not in keeping with recent 4 eGFRs<\/td>CKD diagnosed, last two eGFR 15-29 but not CKD 4-5 coded.<\/td><\/tr>
? CKD 3.01.5 Coding \u2013 Current CKD G code not in keeping with recent 5 eGFRs<\/td>CKD diagnosed, last two eGFR 0-14 but not CKD 5 coded.<\/td><\/tr>
? CKD 3.02 Coding \u2013 Current CKD A code not in keeping with recent ACRs<\/td>CKD diagnosed, last two ACR results not in keeping with current CKD A coding.<\/td><\/tr>
? CKD 3.02.1 Coding \u2013 Current CKD A code not in keeping with recent A1 ACRs<\/td>CKD diagnosed, last two ACR <33 but not coded CKD A1, A2 or A3.<\/td><\/tr>
? CKD 3.02.2 Coding \u2013 Current CKD A code not in keeping with recent A2 ACRs<\/td>CKD diagnosed, last two ACR >30 but not coded CKD A2 or A3.<\/td><\/tr>
? CKD 3.02.3 Coding \u2013 Current CKD A code not in keeping with recent A3 ACRs<\/td>CKD diagnosed, last two ACR >30 but not coded CKD A3.<\/td><\/tr>
? CKD 3.03 Coding \u2013 Repeat ACR to confirm different CKD A code<\/td>CKD diagnosed, latest ACR result 3-29.9 and not coded with CKD A2 or A3 OR<\/strong> >30 and not coded with CKD A3.<\/td><\/tr>
? CKD 3.04 Coding \u2013 CKD A code not stated<\/td>CKD diagnosed, no CKD A1, A2 or A3 code.<\/td><\/tr>
? CKD 3.11 \u2013 BP Management \u2013 BP measurement overdue<\/td>CKD diagnosed, no BP reading in the last 15 months.<\/td><\/tr>
? CKD 3.12 \u2013 BP Management \u2013 BP not controlled<\/td>CKD diagnosed, personal or NICE BP target not achieved.<\/td><\/tr>
? CKD 3.21 \u2013 ACR Monitoring \u2013 ACR measurement overdue<\/td>CKD diagnosed, no ACR\/PCR in the last 15 months.<\/td><\/tr>
? CKD 3.22 \u2013 eGFR Monitoring \u2013 eGFR measurement overdue<\/td>CKD diagnosed, no Renal test in the last 9 months or 15 months depending on CKD stage.<\/td><\/tr>
? CKD 3.31 \u2013 Lipids Monitoring \u2013 Consider lipid intervention<\/td>CKD diagnosed, consider lipid intervention.<\/td><\/tr>
? CKD 3.32 \u2013 ACEi\/A2RB \u2013 Consider ACEi\/A2RB intervention<\/td>CKD diagnosed, consider ACEi\/A2RB intervention.<\/td><\/tr>
? CKD 3.33 \u2013 SGLT2i \u2013 Consider SGLT2i intervention<\/td>CKD diagnosed, consider SGLT2i intervention.<\/td><\/tr>
? CKD 3.34 – Finerenone – Consider finerenone intervention<\/td>CKD diagnosed, consider Finerenone intervention. <\/td><\/tr>
? CKD 3.35 – Finerenone – Potentially eligible for finerenone<\/td>CKD diagnosed, potentially eligible for finenerone<\/td><\/tr>
? CKD 3.41 \u2013 KFRE \u2013 Higher Risk CKD without KFRE in the last 12 months<\/td>Higher risk CKD patients that have not had a Kidney Failure Risk Equation 5 year risk score in the last 12 months.<\/td><\/tr>
? CKD 3.43 \u2013 CKD and Renal Team involvement without discharge \u2013 not seen L3Y<\/td>CKD diagnosed, renal team involvement or referral, without a discharge, not seen in the last 3 years.<\/td><\/tr>
? CKD 3.51 ACR \/ BP \/ U+E Monitoring \u2013 2 \/ 3 overdue<\/td>CKD patients that have two out of three:
\u2013 ACR overdue
\u2013 BP overdue
\u2013 U+E overdue<\/td><\/tr>
? CKD 3.52 ACR \/ BP \/ U+E Monitoring \u2013 3 \/ 3 overdue<\/td>CKD patients that have three out of three:
\u2013 ACR overdue
\u2013 BP overdue
\u2013 U+E overdue<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

CKD Intervention Prioritisation<\/h2>\n\n\n\n
Report Name<\/strong><\/td>Returns<\/strong><\/td><\/tr>
? CKD 4.1 \u2013 CKD Intervention Prioritisation \u2013 Highest priority<\/td>Priority Group 1<\/td><\/tr>
? CKD 4.2 \u2013 CKD Intervention Prioritisation \u2013 High priority<\/td>Priority Group 2<\/td><\/tr>
? CKD 4.3 \u2013 CKD Intervention Prioritisation \u2013 Lower priority<\/td>Priority Group 3<\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div><\/details><\/div>\n\n\n\n
<\/span>
\n

Staying up-to-date<\/h2>\n\n\n\n

Join CDRC’s mailing list to receive email updates on new\/ updated resources, news, events and more.<\/p>\n\n\n\n

\n
You can join now by clicking here<\/a><\/div>\n<\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

CDRC has Population Reporting Searches available to support the identification and management of patients with un-coded \/ coded CKD.<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":6766,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"yoast_head":"\nEMIS: Acute Kidney Injury (AKI) & Chronic Kidney Disease (CKD) - Clinical Digital Resource Collaborative<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cdrc.nhs.uk\/resources\/emis-resource-centre\/emis-specialties\/emis-renal-overview\/chronic-kidney-disease-ckd-emis\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"EMIS: Acute Kidney Injury (AKI) & Chronic Kidney Disease (CKD) - 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